CLIA lab

CLIA 05D0982178: Garden Grove Primary Care Medicine Inc

Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0982178 belongs to Garden Grove Primary Care Medicine Inc in Garden Grove, CA.

Certificate of Waiver, effective January 18, 2025, expires January 17, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 18, 2025
Certificate expiration
January 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 18, 2001
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0982178
Lab name
Garden Grove Primary Care Medicine Inc
Address
12555 Garden Grove Blvd Ste 301, Garden Grove, CA 92843
Phone
(714) 741-0501
Fax
(714) 741-0095

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Garden Grove, CA

Related

Questions

What is the CLIA number for Garden Grove Primary Care Medicine Inc in Garden Grove?

05D0982178, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Garden Grove Primary Care Medicine Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0982178 expire?

The CMS file lists January 17, 2027 as the certificate expiration date; the certificate took effect January 18, 2025.

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